Active NPI
Caroline Gordon, LCSW
- Clinical Social Worker
- Darien, CT
National Provider Identifier
1639245376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006216
- Practice address
- 590 Post Road
Darien, CT 06820 - Phone
- (203) 655-4693
- Fax
- (203) 655-3452
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006216 | CT | Primary |
Addresses
Primary practice location
590 Post Road
Darien, CT 06820
Mailing address
20 Bridge Street
Greenwich, CT 06830
Phone (203) 629-2822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006216 | CT | MD | Massage Therapist |
| 6216 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639245376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BRIDGE STREET",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06830",
"telephone_number": "203-629-2822",
"fax_number": "203-629-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 POST ROAD",
"city": "DARIEN",
"state": "CT",
"postal_code": "06820",
"telephone_number": "203-655-4693",
"fax_number": "203-655-3452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "CAROLINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.